A well-established Medical Bureau based in Pretoria East is seeking an experienced Medical Billing Claims Administrator to manage billing and claims processes for our specialist clients. The successful candidate must have recent, hands-on experience billing for both Gynaecology and Maxillofacial disciplines — this is non-negotiable.

Key Responsibilities:

Process and manage full billing cycles for specialist clients
Submit claims and manage medical aid rejections and queries
Ensure accurate application of coding, tariffs, and billing protocols
Liaise with practices, patients, and medical schemes
Maintain billing records and support month-end account reconciliations
Uphold data accuracy, patient confidentiality, and bureau service standards
Minimum Requirements (All Essential):

Matric / Grade 12
Minimum 2 years of recent medical billing experience in a Medical Bureau or Specialist Practice
Direct experience with Gynaecology and Maxillofacial billing (NON-NEGOTIABLE)
Strong working knowledge of:
ICD-10, CPT, and procedure codes
Medical aid scheme rules and claims submission protocols
Modifiers and PMB claims handling
Proficiency in Microsoft Office (especially Excel and Outlook)
Valid driver’s license
Own Transport
High level of accuracy, accountability, and attention to detail
Ability to work independently and under pressure
Excellent communication and client service skills

What We Offer:

·        Market related – depending on experience

·        21 days of annual leave

·        Annual performance bonus (based on individual and company performance)

·        Exposure to specialised billing environments

·        Supportive team and structured internal processes

To Apply:
Email your CV to recruit@medicalresources.co.za with Ref Medical Billing Claims Administrator

Please note: Only candidates with direct experience in both Gynaecology and Maxillofacial billing will be considered. If you do not hear back from us within 2 weeks, kindly consider your application unsuccessful.